Effect of zirconia etching solution on the shear bond strength between zirconia and resin cement

• Published in: The Journal of prosthetic dentistry Vol. 126; no. 5; pp. 693 - 697
• Main Authors: Sadid-Zadeh, Ramtin, Strazzella, Anthony, Li, Rui, Makwoka, Steven
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01-11-2021
• Subjects: Dentistry
• ISSN: 0022-3913; 1097-6841
• DOI: 10.1016/j.prosdent.2020.09.016

The bond between resin cement and zirconia is essential to the long-term retention of a zirconia crown. However, it is unclear if the existing methods provide a long-term bond between resin cement and zirconia.
The purpose of this in vitro study was to evaluate the effects of a zirconia etching solution on the shear bond strength between zirconia and resin cement.
Sixty yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) disks (Ø8×5 mm) were divided into 4 groups (n=15). Each group was then treated with 1 of the following methods: airborne-particle abraded with 50-μm Al2O3 (AA); etched with zirconia etching solution (ZES); airborne-particle abraded with 50-μm Al2O3 and then etched with ZES (AA-ZES); etched with ZES and then airborne-particle abraded with 50-μm Al2O3 (ZES-AA). Sixty composite resin cylinders (Ø2.3×2.4 mm) were luted to the zirconia disks with a self-adhesive resin cement under constant load and then light-polymerized for 40 seconds. Specimens were stored in a 37 °C incubator in distilled water for 24 hours and then thermocycled for 1000 cycles between 5 °C and 55 °C. A universal testing machine with a crosshead speed of 0.5 mm/min was used to measure the shear force (N). The shear bond strength (MPa) was then calculated. One-way ANOVA was used to compare the mean shear bond strength among the groups (α=.05). The failure mode was evaluated by using light microscopy at ×90 magnification and categorized as an adhesive, cohesive, or mixed failure.
Mean ±standard deviation shear bond strength for AA, ZES, AA-ZES, and ZES-AA groups were 9.9 ±2.6, 8.9 ±2.9, 9.6 ±3.9, and 11.0 ±2.3 MPa, respectively. There was no significant difference among the treatment groups (P>.05).
A zirconia etching solution did not significantly improve the shear bond strength between zirconia and resin cement compared with airborne-particle abrasion with Al2O3.